HomeMy WebLinkAbout1982 WESTMINSTER AVE - Building Permits I(`sem`••i Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
Cll i'fOF COSTA MESA CO S CTION ERMIT 'n PER(�LT NO,- A) TRACT NO. LOT NO. U NO.
� Wect ` Y* st, A.P.# Zone
yroj icant'dress ,J(��1 ,,pp '�qq N'1 I �S 1l/eY V•4 Ye
S Main Building: Accessory Building:
yipplicant's Mailing Addfess • YO tax ‘10 G4 CM TYPE OF CONSTRUCTION NEW LI ADD LJ ALTERATION ___1 =PAIR E Z
r 1 L�It�/_ID ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front 0
Owner's Name' IR Q Lr �`� OeV(l phone U �7 DESCRIPTION OF WORK/USE OF BLDG. I B Rear N
Addre»' I��) 1-ll X110 h A 1
Arch/Eng. License No. TYPnIF PERMIT y y ❑ GRADING CIFOUNDATION U STRUCTURAL C Right N
Address an 11CJ
TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left R
Contractor's Name Phone CI OTHER Ping. Ref.# Parking Req./Provided E
1� PROJECT DESCRIPTION SQ. FT. OCCUPANCY E
Address(mailing) 1•r Planning Notes: M
CONSTRUCTION TYPE VALUATION$ T
City License No. ZONE G DING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATIONbtlaab /r1.Y 71 S'
I hereby affirm that) I am licensed under prosiness CProfer i ns(commencing Remarks: Lq-x/ sp,.
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect. V �■ ELECTRICAL FEES
Dicense Class License No. FEES
Date Signature PLUMBING Automatic Washer Transformer 0 15-50 KW
WORKERS'COMPENSATION DECLARATIONConstruction Pole Sub. 0 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
-.f Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter pup to 100 amps
900, Lab. C.) Backflow Presenter Service Sink
misty No. Company Backflow Irrigation Sewer Cap Dishwasher r Meter Dover 100 amps 2 37- Q
8 Certified copy is hereby furnished. — — Dryers ❑Gas ❑Electric �� ub Panel
Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Fan Motors 00-1 HP 01%-B
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+
I certify that in the performance of the work for which this permit is issued I Fixtures
shall not employ any person in any manne 5 as t me sub'ect to the Drinking Fountains Solar Tank Microwave
Workers' C fppens L�p7� of California. 1� eyy
Date 91/- ^Kagnat ure -/ 1 Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE:If,after making this declaration, you shout ecome subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range
comply with such provisions or this permit shall be deemed revoked. -
CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05.15 KW Trash Compactor
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 BusinesS and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law (Chapter 9(commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ��
-`erefrom and the basis for the alleged exemption. Any violation of Section P $15 Issue Fee $4
'<; ,31.5 by any applicant for a permit subjects the applicant to a civil
"Malty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:
rj - I, as owner of the property or- y' WitAy ` a tht, fie Reinspection Fee I $15 Issue Fee $ 3
' c will tlo the mwork, and the structure is not intended or-offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves y�� I�
thereon, and who does Such work himself/herself or through his or her own - Application Issued By e_/LL_ Date iln caa
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I Els,iV
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES
pietion, the owner will have the burden of proving he/she did not build or lin- Duct- Under Ground
prove for the purpose of sale). BUI LDING PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con- PLUMBING $ ISSUANCE $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ -/M•-0� GRADING $
❑ I am exempt under SSeecttion B.&P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers MICROFILMRADI N $
Date )^2 f,e.I. tt' HeatingSystem& DuctingRegisters PLAN CHECK 50% $ AA
��' Owner yMECHANICAL $ lj�.L�U
I hereby certify that I have read this yapPli tion a' state that the above 00-100,000 BTU 0100,000 BT TOTAL FEE $ __
information Is correct. I agree to comply with all city and county ordinances - PLAN CHECK 25% $
and state laws relating to building onstruction,and hereby authorize repre-
sentatives of this city to Titer i•on t e abase:mentioned property for
inspection Purposes. At
�1
Signature p JAS -'�� �1� a_ ate D—
Drivers' License or SS of Reinspection Fee $15 Issue Fee $ 3
0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 01 00018063-00018063 TOT 52,00
DATE: 10/28/88 TIME: 09:52
•
} 1Co1JSTRUCTION AND PLANNING
• POOL PA
?./APPROVALS Permit# Date Inspector APPROVALS Permit 4 Date Inspector
1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Locaiion i ;
2. Soil`'Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. - 54. Forms
4. Electrical Conduit-Undrgrnd. ..'r 55. Electrical Bonding
5. Steel'Reinforcement - 56. Rough Plumbing & Pressure Test
.6. Electilcal UFER Grnd. 57. APPROVAL TO COVER-GUNITE -
r
7. Footing; 58. Electrical Conduit-Uncjrgrnd. ,
8. Foundation I 59. Gas Pipe, El Undrgrnd', Test •
9. Water Pipe-Undrgrnd. l 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System .: ' 61. APPROVAL TO DECK �-
r'11 Property Sewer Line & House Connection 62. Backwash & Receptor-inal i
12. Sewer Cap _ 63. Heater & Vent-Final ; . , -
13. Roof Drains 64. Plumbing System - Filial ,•
14-- Rough Plumbing 65. Electrical-Final
15 Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
:1,7. Rough Wiping Sign 68. APPROVED FOR PLASTERING
,18. Rough Electrical-T Bar Ceiling 1 69. POOL/SPA SYSTEMS FINAL
•19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
-20. Rough Factory Fireplace APPROVALS Permit#
r. _
217". Ducts, in Structure !.? 70. Underground Hydro
22. Ducts, Ventilating -�•rr , 71. Product Piping O Gas 0 Oil
23. Gas Pipe-Rough & Testd}' 1 ! 72. Underground Flush
24. Roof Framing '' , 3 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - .1 74. Overhead Hydro
26. T-Bar Ceiling (Structural) &'Monocoat 75. Dry Chemical
'
2 -FrameandFlashing
L 7 76. Dry Standpipe .
- 28. Lathing & Siding 77. FIXED SYSTEM FINAL '
29. Insulation ) 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . ;t
FINAL INSPECTION
32. Electrical Power Meter-Final`'' /2/40- 1._./ 80. FOOD CERTIFICATE ISSUED r
33. Final Electric r6 '7 ,".tes:
34. Final Heating& Air Conditioning E ,
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace . •
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final - .- �
42. Backflow Preventers
• 43. Backflow Irrigation r
44. ,Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
i
48. Special Requirements Completed •
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
.,
51. CERTIFICATE OF OCCUPANCY . •
No, Date . ", (r
,�;
OWNER HANOND, ARCHIE E. DATE 6-11-58 •
JOB ADDRESS 1982 Westminster . BUILDING PERMIT NO. - 6855'
GENERAL CONTRACTOR Gentosi Brothers VALUE $ 700.00 '
AP. No 18-ljq 'dT 10 TRACT 712 FIRE ZONE DESCRIPTION OF WORK l:arae
t UP J TYPE V ZONE R.14. PLAN NO. 6855
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches rms Steel ` // /,
Floor Syst m
Steel Reinforce Chimney Re-Rod /
-Bona-fig a Wig s i
Frame and FlashingOlgan
9
Lathin , IOut '77
bt /
t0
Plaster, brown coat U `11 ii,SY
Underground soil WIG PipPTest
Top Out
Furnace
Gas Vents
Rough Plumbing
Cesspool Septic Tank
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
N 'ng Final
I ,ing Fixtures, Final
Final Gas Test
Construction Pole
Underground Power
Rough Wiring I _
I\ f
-OCCUPANCY
Y i
Form 210-5M-1-57 6t355
6855COSTA
JUN-4-58Diil 472 6.00
COSTA MESA BUILDING DEPARTMENT
P.O.BOX 317
COSTA MESA. CALIFORNIA
FOR APPLICANTTO FILL
/IJN� APPLICATION FOR PERMIT
ADDRESS // f2 WesrAiJJYS'/Qy •,' r BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE-NBLttYVLY-fr ..--,-.--•• ./ nn
//�" Qty/' RECEIPT NO. PERMIT NO
OWNER/,n ). ��"✓✓WW�� 4/ At.al nn, i �o A'-f S-
•/ RECEIVED BY DATE RECEIVED_ DATE ISSUED
MAIL „...---
ADDRESS q,�z live ,/„.„,e--7,, /✓.5rer -z-.,,e/ 44 -y-,ST ti - q-c
NG
CITY d s,2 ' /�`CS� TNO/YJ/. 4/4/ 'ADDRESS
ARCHITECT UO
OR INTER IC. 79 2./ COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
AQItTY LIC. 2ON ! POAOS TYPE V/ GROUP
CONTRACTOR —2e !yToSI• U/_SNO`'
ADDRESS / TE `.J APPROVED
�_ NO. BY DATE
LEGAL LOT
DESCRIPTION
DESCRIPTION NO. /Gf BLOCK TRACT I/2_ CORRECTIONS
A.P.NO. / / 8 - ! 3 171.-- O / �
SIZE /` X ./ NO.OF BLDGS. A APP •1
OF LOT ({J 0,03 J3z$ / NOW ON LOT
Y` �� +J11
USE OF
SXISTINGETBACK BLFROMrI / s f CITY Oh,1 'G A MESA
CENTER LINE FROA '•� tet^/ PLANN G DEPT.
CENTER OF STREET �L./ REA YARD V RUB!Er r TQ H G DEPT. REG.
(f •
.
SIDE YARD RIGHT LEFT / / a'C4.�.(�//�
DESCRIPTION OF WORK BY ►ATE
�pI IpI PLAN T.CH ii
NEW ,\JALTERATION II ADDITION
REPAIR ryI MOVING ry DEMOLISH
BUILDING �/ NO.OF
SIZE /SIL Q ROOMS STORIES /
EXTERIOR WA/L�I{�/�,i/J ROOF ('
COVERING 5/(�cc0 COVERING dn/4 p(�•j�aN„] 4/.y toS
USE OF NEW /1
BUILDING 5 /wP/iJ�IQ • C.-------- -- „t,
•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE I ORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND E LAWS REGULATING BUILDING CONSTRUC-
TION. VALUATION
ir
PERMIT FEE $ (�/ -�
SIGNATURE OF
PERMITTEE /j[. er., 7•
yl / PLAN CHECK S
$ j __AUTHORIZED GENT TOTAL FEE 5 4 _ "fm-,